A Case of Intracranial Tuberculoma and Optic Disc Tuberculoma Suspected by Miliary Tuberculosis.

Jeon, Kyeong Hong; Cho, Yong Kyun; Hang, Ki Eun; Kim, Ki Tack; Lim, Si Young; Kim, Byeung Ik; Lee, Sang Jong; Lee, Byeung Ro

doi:1996.43.2.236

Tuberc Respir Dis > Volume 43(2); 1996 > Article

Case Report

Tuberculosis and Respiratory Diseases 1996;43(2):236-242.
DOI: https://doi.org/10.4046/trd.1996.43.2.236 Published online April 1, 1996.

A Case of Intracranial Tuberculoma and Optic Disc Tuberculoma Suspected by Miliary Tuberculosis.

Kyeong Hong Jeon, Yong Kyun Cho, Ki Eun Hang, Ki Tack Kim, Si Young Lim, Byeung Ik Kim, Sang Jong Lee, Byeung Ro Lee

¹Department of Internal Medicine, Kangbuk Samsung Hospital, Seoul, Korea.
²Department of Opthalmology, Kangbuk Samsung Hospital, Seoul, Korea.

Abstract

Intracranial tuberculoma results from hematogenous spread of pulmonary, intestinal or urogenital tuberculosis. However, it might be caused by pulmonary tuberculosis, mainly. Clinically, symptoms of intracranial tuberculoma are headache and seizure, its symptoms are simillar to intracranial tumor. A 25-year-old-unmarried shopgirl was visited to this hospital because of headache, dizziness and visual disturbance for couple weeks in Sep. 1995. She had been treated with anti-tuberculosis agents of miliary tuberculosis during past nine months period. Brain MRI revealed intracranial tuberculoma and brain edema but not involved optic nerve. Ophthalmic examination revealed severe papilledema and splinter hemorrhage with bitemporal hemianopsis and central scotoma. This finding was strongly suggested of optic disc tuberculoma. Her symptoms became much better following repeated retrobulbar steroid injection with continuous anti-tuberculosis agents. We report a interesting case with intracranial tuberculoma and optic disc tuberculoma associated by miliary tuberculosis during anti-tuberculous treatment.

Key Words: miliary tuberculosis, intracranial tuberculoma, optic disc tuberculoma,